How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $158.49 Median $1,230.27 Typical High $2,041.74 | Facility | None | $158.49 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $309.03 | Professional | None | $158.49 | $194.98 | $309.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $354.81 | Professional | None | $141.25 | $186.21 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,445.44 Typical High $1,819.70 | Facility | None | $588.84 | $1,445.44 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $457.09 | Professional | None | $190.55 | $251.19 | $457.09 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,248.07 | Facility | None | $1,096.48 | $1,513.56 | $5,248.07 |
United Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $478.63 | Professional | None | $128.82 | $239.88 | $478.63 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $95.50 Typical High $154.88 | Professional | 52 · Reduced service | $79.43 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $61.66 | Professional | 53 · Discontinued | $31.62 | $38.02 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $141.25 Typical High $234.42 | Professional | 54 · Surgery only | $120.23 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | 55 · Aftercare only | $23.99 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $19.05 Typical High $30.90 | Professional | 56 · Pre-op care only | $15.85 | $19.05 | $30.90 |
Where Arkansas sits
The same service costs 5.8 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 22nd of 51
$309
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.